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I am NOT advising you to follow my possibly questionable practice, but, when I knew we were going through Brexit I took note of the expiry dates of ampoules that were being issued at the time and chose to buy enough ampoules to last me for a year beyond their expiry date - working on the principle it might take a couple of years for the supply chain to work itself out and I didn't want to run out

Avoid taking high doses of vitamin B12 or multivitamins unless your doctor recommends them

Do acid-lowering agents affect vitamin B12 status in older adults

These monoclonal antibodies bind and inactivate circulating tumour necrosis factor (TNF) alpha, disrupting the inflammatory cascade with a more targeted approach than corticosteroids and thiopurines[71]